Thursday, May 19, 2022

Can You Die From A Brain Bleed

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Common Causes Of A Brain Bleed

Hemorrhagic Stroke (Brain Hemorrhage)

Brain bleeds can be incredibly dangerous and they can occur just about anywhere within your cranial cavity. Here are some of the conditions main causes:

  • The most common way that brain bleeds occur is through an injury or some form of physicalhead trauma.
  • Another very common cause ishigh blood pressure, which can weaken the blood vessel walls within your brain. This is one of the most preventable causes that can be easily treated.
  • Ananeurysmis when a blood vessel wall in the brain swells, weakens and then eventually bursts into the brain creating a stroke.
  • Also bleeding or blood disorders likesickle cell orhemophilia can create brain bleeds.
  • Lastly liver disease and brain tumors are major causes associated in general with increased bleeding.
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    ‘minor’ Head Injuries Can Turn Serious Rapidly Experts Say

    • Story Highlights
    • People with head injuries can seem perfectly lucid
    • Blood can leak into brain over minutes or hours, causing swelling, pressure
    • Important to watch for signs of brain injury: Nausea, severe headache, glassy eyes

    — A blow to the head that at first seems minor and does not result in immediate pain or other symptoms can in fact turn out to be a life-threatening brain injury, experts tell CNN.

    Immediate treatment is essential after a brain injury because damage caused by swelling is often irreversible.

    It’s very common for someone who’s had a fall or been in a car accident to appear perfectly lucid just after the impact but then to suddenly, rapidly deteriorate, Dr. Carmelo Graffagnino, director of Duke University Medical Center’s Neurosciences Critical Care Unit, told CNN.

    Actress Natasha Richardson was talking and joking after she fell Monday during a beginner ski lesson, according to officials at the Canadian resort where she was staying. But soon after she returned to her room she complained of head pain and was taken to a nearby hospital, then to a larger medical center in Montreal. She was flown by private jet Tuesday to a New York hospital. She died Wednesday, according to a family statement.

    Such injuries are known as epidural hemorrhage. Blood gets trapped between the skull and the hard layer of skin between the bone and brain, known as the dura mater. As the blood flows from the ruptured artery, the fluid builds and punctures the dura.

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    Risk Factors For Strokes From Brain Bleed

    Here are the risk factors for a hemorrhagic stroke:

  • High blood pressure: Uncontrolled high blood pressure is the most important risk factor for a stroke from brain bleed. Your risk of brain bleed goes higher as your blood pressure goes up.
  • Smoking: Smoking greatly increases your risk of having a stroke from brain bleed. The risk seems to go down slowly after you quit smoking. Taking care of high blood pressure and quitting smoking are the two most important things you can do to prevent a hemorrhagic stroke.
  • Alcohol abuse: Heavy drinking has been identified as an important risk factor for a stroke from brain bleed.
  • Blood thinners: People who are on blood thinners for a history of blood clots or other conditions are at an increased risk of having a stroke from brain bleed. In most cases when blood thinners are required, the risk of not taking blood thinners is higher than the risk of getting brain bleed. It is important to understand the risks and benefits of taking blood thinners for any medical condition.
  • The use of aspirin and similar medications for the prevention of regular strokes or heart attacks: Aspirin and similar medications prevent platelets from sticking to the arteries and help prevent the formation of plaques that may lead to heart attacks or strokes . Platelets are small particles in the blood that stick together to help make blood clots. When platelets are ineffective, you can have an increased risk of bleeding, including bleeding in the brain.
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    What Are The Causes

    • Hypertension: elevated blood pressure may cause tiny arteries to burst inside the brain. Normal pressure is 120/80 mm Hg.
    • Blood thinners: drugs such as coumadin, heparin, and warfarin used to prevent clots in heart and stroke conditions may cause ICH.
    • AVM: a tangle of abnormal arteries and veins with no capillaries in between.
    • Aneurysm: a bulge or weakening of an artery wall.
    • Head trauma: fractures to the skull and penetrating wounds can damage an artery and cause bleeding.
    • Bleeding disorders: hemophilia, sickle cell anemia, DIC, thrombocytopenia.
    • Tumors: highly vascular tumors such as angiomas and metastatic tumors can bleed into the brain tissue.
    • Amyloid angiopathy: a buildup of protein within the walls of arteries.
    • Drug usage: alcohol, cocaine and other illicit drugs can cause ICH.
    • Spontaneous: ICH by unknown causes.

    How Does Prompt Care Affect Brain Hemorrhage Recovery Time

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    Not all brain bleeds result in death. In fact, death is generally caused by the most extreme cases. Most patients can survive if treatment is sought in due time. How well an affected person responds to brain bleeds is determined by the size of the severity of the bleeding, its location, and the amount of swelling that result from the bleeding. Some patients recover fully after the bleeding if proper treatment is provided, but others survive with various complications.

    Possible complications that the patients could endure include loss of brain function, stroke, and adverse reactions to medications. Sadly, death is also still a possibility even after treatment, but the sooner you seek treatment, your odds greatly improve. Bottom line, if you have any of the symptoms listed earlier in this piece, or if you have recently suffered a traumatic injury to the head, don’t wait. Seek treatment as soon as possible. It could save your life.

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    Symptoms Of A Brain Bleed

    Symptoms of a brain hemorrhage vary depending on the location and severity of the bleeding, and how much brain tissue is affected. Symptoms may appear suddenly or gradually over time. Because many of these symptoms overlap with other conditions, its important to seek immediate medical attention to diagnose whether you have a brain bleed.

    Common symptoms of a brain hemorrhage include:

    • Sudden, severe headache

    • Seizures, with no previous history of seizures

    How Are Brain Hemorrhages Treated

    Any type of bleeding inside the skull or brain is a medical emergency. If you or a loved one have experienced a blow to the head or have symptoms that may indicate a brain bleed, call 911. It is important to get to a hospital emergency room immediately to determine the cause of the bleeding and to begin medical treatment.

    If a stroke has occurred, the cause must be determined so that the appropriate treatment can be started. Prompt medical treatment can help limit damage to the brain, which will improve your chance of recovery.

    Surgery may be needed in the following situations:

    • Bleeding may require immediate decompression of the brain to release pooled blood and relieve pressure. Decompression may be done through a burr hole procedure , a craniectomy incision , or a craniotomy .
    • A cerebral aneurysm that has not ruptured may require clipping or filling of the aneurysm through a craniotomy surgical procedure, or an angiography-type procedure to prevent a future rupture.
    • An arteriovenous malformation that has not ruptured is treated by direct removal of the AVM through surgery, use of computer-guided radiation to close off the abnormal vessels or use of a special glue or other filler to block the blood flow from smaller blood vessels into the AVM or the vessels that supply the AVM.
    • Some brain hemorrhages do not require surgery. The decision depends on the size, cause and location of the bleed and other factors.

    Other treatments may include:

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    What Is The Prognosis After A Brain Hemorrhage Is Recovery Possible

      Many patients who have experienced a brain hemorrhage do survive. However, survival rates are decreased when the bleeding occurs in certain areas of the brain or if the initial bleed was very large.

      If a patient survives the initial event of an intracranial hemorrhage, recovery may take many months. Over time and with extensive rehabilitation efforts, including physical, occupational, and speech therapy, patients can regain function. However, some can be left with persistent weakness or sensory problems. Other patients may have residual seizures, headaches, or memory problems.

      What Is A Brain Bleed

      BRAIN HEMORRHAGE Symptoms

      To most people, a brain bleed simply means any bleed inside your head. However, a doctor and specifically doctors who treats brain bleeds would say that a brain bleed is too broad of a term. These doctors further describe brain bleeds by their exact location.

      To better understand brain bleeds, its important to have a basic understanding of the different types. First, there are two main areas where bleeding can occur bleeding can occur either within the skull but outside of the brain tissue, or inside the brain tissue. These areas are further divided as follows:

      Bleeding within the skull but outside of the brain tissue

      The brain has three membranes layers that lay between the bony skull and the actual brain tissue. The purpose of the meninges is to cover and protect the brain. Bleeding can occur anywhere between these three membranes. The three membranes are called the dura mater, arachnoid, and pia mater.

      • Epidural bleed : This bleed happens between the skull bone and the utermost membrane layer, the dura mater.
      • Subdural bleed : This bleed happens between the dura mater and the arachnoid membrane.
      • Subarachnoid bleed : This bleed happens between the arachnoid membrane and the pia mater.

      Brain bleeds can occur within the meninges, which is the area inside the skull but outside the actual brain tissue.

      Bleeding inside the brain tissue

      Two types of brain bleeds can occur inside the brain tissue itself intracerebral hemorrhage and intraventicular hemorrhage.

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      Strokes From Brain Bleed Vs Regular Strokes

      Strokes from brain bleed and regular strokes have many common symptoms. However, there are a few symptoms that are more specific to a stroke with brain bleed. The most important distinguishing symptom is the presence or absence of a headache. A regular ischemic stroke is almost always painless. I have explained this in the article stroke vs heart attack. It is very unusual for someone with a regular stroke to have a bad headache. When you have a bad headache with stroke-like symptoms, you are more likely to have a stroke from brain bleed.

      Here is a table comparing the symptoms of hemorrhagic strokes with ischemic strokes:

      Signs or symptoms

      How Does A Brain Bleed Affect A Patient

      As mentioned previously, in the worst cases of brain bleeding, the result could be death. This is of course dependent on the severity of the bleed. Minor bleeding may not cause any significant or visible health challenges, and may not affect the lifespan of the individual. Where the bleed is located within the brain, as well as when it is detected and subsequently treated, may be determining factors of survival.

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      What Exactly Happens When A Person Is Going Through Stress

      The person is going to stress it results in a higher level of cortisol and other stress hormones. According to a specialist performing brain hemorrhage surgery in Jaipur, the level of stress is different with every individual, and the disruption in the sleep cycle is the major contributor behind it. It is also responsible for increasing the blood sugar level due to which vessel cannot dilate or contract and there is interference in the blood flow.

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      Intracerebral hemorrhage: Symptoms, risk factors, and ...

      Each childs outcome will vary depending on the size, cause, and location of the bleeding. Some children donât have any problems after treatment. Other children may have ongoing neurologic problems. These can include trouble with learning, speech, or movement. Some develop seizures or epilepsy. In these cases, regular follow-up with the doctor are needed. Supportive care, such as speech, physical, or occupational therapy, may also be needed.

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      Complications Of Internal Bleeding In Brain

      Only a few lucky patients have a near normal life after brain Heamorrhage. This is mostly seen with a very small amount of bleeding.

      Usually, these patients develop paralysis of either single upper limb or single lower limb or Unilateral hemoplegia. These patients need physiotherapy for the lifetime.

      Recovery chances are higher in brain hemorrhage when the patient is young, having smaller bleed and reach to the hospital within the first hour.

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      What To Expect When Your Loved One Develops Brain Bleed While Being Hospitalized For A Stroke

      It is important to understand that brain bleed after a stroke is not always a disaster. If your loved one received timely treatment for a stroke and was doing better with improved symptoms, small brain bleed seen on a CT scan may not be significantly worse.

      Any new brain bleed after a stroke requires close monitoring in the hospital. If your loved one was being treated on a regular floor of the hospital, you can expect to him or her to be moved to the ICU for closer monitoring. They will watch out for signs of increased pressure inside the brain. Worsening headaches, nausea, or vomiting may signal high pressure inside the brain, and could be cause for concern.

      Large brain bleed after a stroke can be very difficult to treat and has a worse outcome. They can sometimes try to treat the bleeding by giving medications to reverse the clot-busting medications used in the treatment of the initial stroke. They can also transfuse platelets to see if that would help prevent any further bleeding. However, large brain bleed has a very poor outcome, and only a small percentage of people with large brain bleed after a stroke survive.

      Some patients with brain bleed after a stroke may benefit from surgery. Patients who have moderate-sized bleeding along with increased pressure inside the brain might do better if that pressure can be surgically relieved. Neurosurgeons have several different surgical techniques they can use to try to achieve that goal. It only works in a few patients.

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      How Are Brain Bleeds Diagnosed

      A doctor will examine you immediately if any type of brain hemorrhage is suspected. Diagnosis is usually made based on the results of:

      • An evaluation of your physical symptoms.
      • Computed tomography scan, magnetic resonance imaging or magnetic resonance angiogram of your brain. These imaging tests determine the location, extent and sometimes the cause of the bleed.

      Other tests may include:

      How Long Can You Live With A Brain Hemorrhage

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      Bleeding Of The Brain Lawyer Near Me

      According to Harvard Health, 30% to 60% of patients with an intracerebral hemorrhage die . However, additional circumstances and the cause of the brain bleed can affect their survival, such as a brain hemorrhage in a premature infant or an elderly patient.

      According to a study published in the Journal of Stroke, patients suffering from an intracerebral hemorrhage, a severe type of stroke, have a fatality rate of 40% at one month and 54% at one year .

      our Bleeding Of The Brain Lawyers today

      When someone is diagnosed with a brain hemorrhage that was caused by negligence, or if a doctor misses an intracranial hemorrhage diagnosis, the victim and their family can file a lawsuit to cover the costs of treatment. In addition to this, if your elderly loved one was injured in a nursing home due to a caregivers mistake, you may want to speak to a nursing home abuse lawyer.

      References

      An, S., Kim, T., & Yoon, B. . Epidemiology, Risk Factors, and Clinical Features of Intracerebral Hemorrhage: An Update.

      Brain aneurysm: What happens during a brain hemorrhage? .

      Hemorrhagic Stroke. .

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      What Happens If A Brain Bleed Goes Untreated

      Complications can occur before or after medical treatment, and can include: Rebleed until the damaged vessel is repaired, there is a risk of re- bleeding. This commonly occurs 24-48 hours after the first bleed and, if left untreated, carries an increased risk of further complications including death.

      What Happens During A Brain Hemorrhage

      When blood from trauma irritates brain tissues, it causes swelling. This is known as cerebral edema. The pooled blood collects into a mass called a hematoma. These conditions increase pressure on nearby brain tissue, and that reduces vital blood flow and kills brain cells.

      Bleeding can occur inside the brain, between the brain and the membranes that cover it, between the layers of the brains covering or between the skull and the covering of the brain.

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      What Should I Do If I Have An Unruptured Cerebral Aneurysm

      If you have an unruptured brain aneurysm, its important to talk to your healthcare provider about your treatment and management options. You and your provider may decide its best to closely monitor it and manage medical conditions that can further weaken the blood vessel, or you may decide early treatment makes the most sense. Your healthcare provider will take into account several factors including the aneurysms:

      • Size.

      What Recovery Can I Expect After A Brain Hemorrhage

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      Besides depriving the brain of oxygen and killing brain cells, bleeding inside the brain also prevents nerve cells from communicating with the parts of the body and the functions they control. This results in a loss of memory, speech or movement in the affected area.

      Depending on the location of the hemorrhage, the extent of damage and your age and overall health, there can be lasting effects from a brain bleed. These affects can include:

      • Inability to move part of the body .
      • Numbness or weakness in part of the body.
      • Difficulty swallowing.
      • Difficulty speaking or understanding spoken or written words.
      • Confusion, memory loss or poor judgment.
      • Personality change and/or emotional problems.
      • Seizures.
      • Headaches.

      However, over time and with a lot of effort and determination in rehabilitation , you can regain some of these lost functions. This is especially true if your general health is otherwise good.

      Unfortunately, some patients who remain in a coma, or have been severely paralyzed after an intracranial or cerebral hemorrhage may need permanent, long-term care typically provided in a nursing home. Depending on the type, location and extent of the brain bleed, many patients do not survive the initial bleeding event.

      Last reviewed by a Cleveland Clinic medical professional on 05/04/2020.

      References

      Recommended Reading: Brain Stem Bleed Prognosis

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